Japanese
Title白血球シンチグラフィと臨床所見および検査成績との関連性
Subtitle原著
Authors内田佳孝*, 宇野公一**, 蓑島聡**, 北方勇輔*, 有水昇**
Authors(kana)
Organization*君津中央病院放射線科, **千葉大学医学部放射線科
Journal核医学
Volume30
Number5
Page489-497
Year/Month1993/5
Article原著
Publisher日本核医学会
Abstract「要旨」白血球シンチグラフィの結果と, 臨床検査成績および臨床所見の相関の有無について検討したので報告する. 対象は骨系炎症性疾患24例および腹部炎症性疾患35例の計59症例である. 今回検討した臨床検査成績および臨床所見は, 白血球数, C反応性蛋白(CRP), 赤血球沈降速度(ESR)60分値, 発熱の有無, 抗生剤使用の有無の5項目で, 白血球シンチグラフィの結果と上記5項目の結果との間の有意な相関の有無で検討した. 骨系炎症性疾患では, 白血球シンチグラフィの陽・陰性の結果と5項目すべての結果に一定の傾向を認めなかった. 腹部炎症性疾患では5つの項目中, CRPの値とにのみ白血球シンチグラフィの結果と有意な関連を認めた. またCRPが弱陽性を示す場合, 活動性病巣が白血球シンチグラフィにて陰性を示す場合が認められた. 腹部炎症性疾患におけるCRPを除き, 上記臨床項目と白血球シンチグラフィの間に明らかな相関を認めなかったことより, 上記臨床項目より白血球シンチグラフィの適応を決めることは不適当であり, また白血球シンチグラフィは, 炎症巣を評価する上で新たな情報を付加する可能性があると思われた.
Practice臨床医学:一般
KeywordsLeukocyte scintigraphy, 111In, Abdominal infection, Bone infection.
English
TitleCorrelation 111In-Labeled Leukocyte Scintigraphy with Clinical and Laboratory Findings
SubtitleOriginal Articles
AuthorsYoshitaka UCHIDA*, Kimiichi UNO**, Satoshi MINOSHIMA**, Yuusuke KITAKATA*, Noboru ARIMIZU**
Authors(kana)
Organization*Department of Radiology, Kimitsu Central Hospital, **Department of Radiology, Chiba University, School of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume30
Number5
Page489-497
Year/Month1993/5
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]This study was evaluated relationship 111In-labeled leukocyte scintigraphy and clinical information and laboratory findings in twenty-four patients with bone infection and thirty-five patients with abdominal infection. Fifty-nine scintigrams were retrospectively reviewed and classified into positive or negative results. As the laboratory findings, C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) at sixty minutes, and peripheral blood leukocyte counts (WBCC) were evaluated. Clinical information such as presence of fever and administration of antibiotics was also compared. No significant relationship between the scintigraphic results and clinical as well as laboratory findings was observed in bone infection patients. CRP levels in positive scintigraphic patients were significantly higher than those in negative scintigraphic patients in the abdominal infection group, otherwise the other indices were not correlated with the scintigraphic results. A few patients with slightly increased CRP (mostly chronic cases) did not show positive scintigrams, suggesting an increased false negative rate of leukocyte scintigraphy in such circumstances. These results suggest that it is inappropriate to determine the application of leukocyte scintigraphy depending on clinical as well as laboratory findings, and leukocyte scintigraphy would yield additional information different from other indices when evaluating inflammatory foci.
PracticeClinical medicine
KeywordsLeukocyte scintigraphy, 111In, Abdominal infection, Bone infection.

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